Active NPI
David C Merrill, MD
- Maternal & Fetal Medicine Physician
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 9701062
- Practice address
- 8905 W Lincoln Ave
#505
West Allis, WI 53227-2468 - Phone
- (414) 329-5647
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9701062 | NC | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 9701062 | NC | Primary |
Addresses
Primary practice location
8905 W Lincoln Ave
#505
West Allis, WI 53227-2468
Mailing address
8905 W Lincoln Ave
#505
West Allis, WI 53227-2468
Phone (414) 329-5647
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6217281 | Medicaid | VA | |
| B8052 | Other | NC | MEDCOST |
| 1055R | Other | NC | BCBS |
| 891055R | Medicaid | NC | |
| 19721 | Other | NC | PARTNERS |
| 3004936000 | Medicaid | WV | |
| 7336411 | Other | AETNA | |
| Q0106A | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Plaza Dr
Suite 2200
Wausau, WI 54401-4158
Phone (715) 847-2475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701062 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Reply OB/GYN & Fertility, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
2720 Plaza Dr
Ste 2100
Wausau, WI 54401
Phone (715) 847-2475
2720 Plaza Dr
Ste 2200
Wausau, WI 54401
Phone (715) 847-2311
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Interoperability endpoints
- dmerrill131847@direct.aspirus.org
- https://api.platform.athenahealth.com/10516/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Wausau, WI
- NPI 1003021452
-
- Clinic/Center
- Wausau, WI
- NPI 1669595294
-
- Obstetrics & Gynecology Physician
- Wausau, WI
- NPI 1942084199
-
- Obstetrics & Gynecology Physician
- Cary, NC
- NPI 1417337429
-
- Plastic Surgery Physician
- Wausau, WI
- NPI 1831544741
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1972587053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8905 W LINCOLN AVE",
"address_2": "#505",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272468",
"telephone_number": "414-329-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8905 W LINCOLN AVE",
"address_2": "#505",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272468",
"telephone_number": "414-329-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "DAVID",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "9701062",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NC",
"license": "9701062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6217281",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B8052",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1055R",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891055R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "19721",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004936000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7336411",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0106A",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.